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FAQ
Step 1 of 11
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Name
*
Date of Birth
*
Height
*
In inches
Weight
*
In pounds
Goals
What personal/athletic goals do you have (long and short term)?
Movements
Please tell us about movements you LOVE and why you LOVE them
Please tell us about movements you HATE and why you HATE them
Lifestyle
What is your occupation?
*
Different occupations effect the body in varying ways, this will allow us to customize your training accordingly
Do you currently follow a nutritional plan?
*
Yes
No
Please describe your current nutritional plan?
*
What is your preferred method of communication with HELIYO?
Text
Email
No Preference
Athletic History
Please tell us about your past and present athletic activities
Add more rows with the + if needed.
Sport/Activity
Years of Participation
Additional Details or Info
Training History
Please tell us what your training regiment has consisted of over the last 6 months
*
Current State of Your Body
Are you currently experiencing any aches and/or pains?
*
Yes
No
Please list all aches and/or pains
Add more rows with the + if needed.
Location
Description of Pain/Ache
Date of Onset
How did it start?
Does a physician or physical therapist currently monitor or prescribe exercises for you?
*
Yes
No
If yes please describe who and what for
Anything else you would like to tell us about the current state of your body?
*
Yes
No
If yes, please elaborate
Injuries
Have you experience any injuries in the past?
*
Injuries involving muscles, tendons, ligaments, and bones
Yes
No
Please list all injuries below
Add more rows with the + if needed.
Date of Injury
Type of Injury
How Did Injury Take Place?
Resolved or Ongoing?
Surgeries and Medical Procedures
Have you experienced an surgeries/medical procedures in the past?
*
Yes
No
Please list all surgeries and/or medical procedures below
Add more rows with the + if needed.
Date of Surgery/Procedure
Type of Surgery/Procedure
What Cause/Event Lead to This?
Resolved or Ongoing Condition?
Serious Health Conditions
Have you experienced any serious health conditions in the past?
*
Yes
No
Please list all health conditions below
Add more rows with the + if needed.
Date of Health Condition
Type of Health Condition
Resolved or Ongoing Condition?
Do you have any additional health information that you would like to disclose?
*
Yes
No
*
I've read and accept HELIYO's
terms of service
.
*
I have completed and would like to submit my intake
Signature
*